The following are summaries and other information related to Proposed Rules that the Department of Commerce and Insurance (DCI) has submitted to the Secretary of State for Publication in the Missouri Register. These rules will not go into effect until the public has had an opportunity to submit written comments, and to attend a public hearing if one is scheduled. Any person may offer comments on a Proposed Rule. The instructions for submitting comments, and the location and date of a hearing if one is scheduled, are located after the text of each rule. Please note that the official text of a Proposed Rule is the version that appears in the Missouri Register, not the draft copy on this site. Refer to the official copy if you wish to submit comments. We hope you find this site helpful and informative.

Proposed Rule Summary Fiscal Note(s) Link to Missouri Register
/Supporting Documents
Small Business
Impact Statement
Division

PROPOSED AMENDMENT

20 CSR 2235-5.030
Ethical Rules of Conduct
This amendment clarifies the use of acceptable titles.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: TThis proposed amendment will not cost private entities more than $500 in the aggregate.
September 30, 2024 This proposed rulemaking does not have an adverse impact on small businesses. Professional Registration – Psychologists

PROPOSED AMENDMENT

20 CSR 2063-6.005
Ethical Rules of Conduct
This amendment adds new language on the use of restraints.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than $500 in the aggregate.
September 30, 2024 This proposed rulemaking does not have an adverse impact on small businesses. Professional Registration – Behavior Analysts

PROPOSED RULE

20 CSR 2115-1.040
Fees
This amendment increases fees and removes outdated language.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will cost private entities an estimated two thousand nine hundred forty dollars ($2,940) annually and thirteen thousand five hundred forty-five dollars ($13,545) biennially for the life of the rule.
August 15, 2024 This proposed rulemaking does not have an adverse impact on small businesses. Professional Registration – Dietitians

PROPOSED RULE

20 CSR 2120-3.210
Requirements for a Preneed Contract Joint Account
This rule provides standards for preneed sellers regarding the management of preneed contract funds that are to be placed and held in joint accounts.

PUBLIC COST: This proposed rule will not cost state agencies more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed rule will not cost private entities more than five hundred dollars ($500) in the aggregate.
August 1, 2024 This proposed rulemaking does not have an adverse impact on small businesses. Professional Registration – Embalmers

PROPOSED RULE

20 CSR 2220-2.715
Authorized Pharmacy Technician Duties
This rule clarifies authorizes duties that may be delegated to a Missouri registered pharmacy technician.

PUBLIC COST:  This proposed rule will not cost state agencies more than five hundred dollars ($500) in the aggregate. 

PRIVATE COST:  This proposed rule will not cost private entities more than five hundred dollars ($500) in the aggregate.
August 1, 2024 This proposed rulemaking does not have an adverse impact on small businesses. Professional Registration – Pharmacy

PROPOSED AMENDMENT

20 CSR 2220-2.013
Prescription Delivery Requirements
The rule is being amended to incorporate medication orders and add patient safety provisions for prescriptions/medication orders shipped via mail or commercial carrier.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST:  This proposed rule will cost private entities approximately nine thousand fifty-one dollar and eighty cents ($9,051.80) during the first year of implementation, as reflected in the attached Private Fiscal Note.
July 15, 2024 This proposed rulemaking does not have an adverse impact on small businesses. Professional Registration – Pharmacy

EMERGENCY AMENDMENT

20 CSR 2232-1.040
Fees
This emergency amendment increases 2024 Interpreters renewal fees to ensure compliance with section 209.332, RSMo.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will cost private entities an estimated seventeen thousand fifty dollars ($17,050) annually for the life of the rule.
July 15, 2024 This proposed rulemaking does not have an adverse impact on small businesses. Professional Registration – Interpreters

PROPOSED AMENDMENT

20 CSR 2232-1.040
Fees
This amendment increases fees and removes unnecessary language.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will cost private entities an estimated seventeen thousand fifty dollars ($17,050) annually for the life of the rule.
July 15, 2024 This proposed rulemaking does not have an adverse impact on small businesses. Professional Registration – Interpreters

PROPOSED AMENDMENT

20 CSR 2145-1.040
Fees
This amendment increases renewal, inactive, and reactivation fees and removes unnecessary language.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will cost private entities approximately twenty-eight thousand one hundred ninety dollars ($28,190) biennially for the life of the rule.
July 15, 2024 This proposed rulemaking does not have an adverse impact on small businesses. Professional Registration – Geologist

PROPOSED AMENDMENT

20 CSR 2063-1.015
Fees
This amendment increases fees and removes unnecessary language.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will cost private entities one hundred sixty-eight thousand four hundred fifty dollars ($168,450) biennially for the life of the rule.
July 15, 2024 This proposed rulemaking does not have an adverse impact on small businesses. Professional Registration – Behavior Analysts

EMERGENCY AMENDMENT

20 CSR 2197-2.010
Application for Licensure
This amendment updates and clarifies clock hours for licensure.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will cost private entities sixty-five thousand, dollars ($65,000) biennially for the life of the rule.
July 1, 2024 This proposed rulemaking does not have an adverse impact on small businesses. Professional Registration – Massage Therapy

PROPOSED AMENDMENT

20 CSR 2197-2.010
Application for Licensure
This amendment updates and clarifies clock hours for licensure.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will cost private entities sixty-five thousand, dollars ($65,000) biennially for the life of the rule.
July 1, 2024 This proposed rulemaking does not have an adverse impact on small businesses. Professional Registration – Massage Therapy

PROPOSED AMENDMENT

20 CSR 2245-3.005
Trainee Real Estate Appraiser Registration
This amendment outlines the licensing criteria changes established by the Appraisal Qualifications Board (AQB) which take effect January 1, 2026.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
June 17, 2024 This proposed amendment does not have an adverse impact on small businesses. Professional Registration – Appraisers

PROPOSED AMENDMENT

20 CSR 2245-5.020
Application, Certificate and License Fees
This amendment adds a trainee renewal fee and removes redundant language.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will cost private entities six thousand seven hundred twenty-five dollars ($6,725) biennially for the life of the rule.
June 17, 2024 This proposed amendment does have an adverse impact on small businesses. Professional Registration – Appraisers

PROPOSED AMENDMENT

20 CSR 2245-6.018
AQB 2026 Licensure Criteria
This rule outlines the requirements set out by the Appraisal Qualifications Board (AQB) for licensure and certification.

PUBLIC COST: This proposed rule will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed rule will not cost private entities more than five hundred dollars ($500) in the aggregate.
June 17, 2024 This proposed amendment does not have an adverse impact on small businesses. Professional Registration – Appraisers

PROPOSED AMENDMENT

20 CSR 2085-3.010
Fees
This amendment increases various fees.

PUBLIC COST: This proposed amendment will not cost state agency or political subdivision more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will cost private entities approximately one hundred six thousand six hundred sixty dollars ($106,660) annually and one million fifty-six thousand four hundred fifty dollars ($1,056,450) biennially for the life of the rule.
June 17, 2024 This proposed rulemaking does have an adverse impact on small businesses. Professional Registration – Cosmetology/Barbers

PROPOSED RULE

20 CSR 2120-2.106
Preneed Funeral Contract Audit Fee Waiver
To waive the twenty-five dollar ($25) statutory state audit fee paid by consumers who are impacted by the receivership of National Prearranged Services (“NPS”).

PUBLIC COST: This proposed rule will cost state agencies or political subdivisions an estimated forty-six thousand five hundred dollars ($46,500) for the life of the rule.

PRIVATE COST: This proposed rule will save private entities an estimated forty-six thousand five hundred dollars ($46,500) for the life of the rule.
June 3, 2024 This proposed rulemaking does not have an adverse impact on small businesses. Professional Registration – Embalmers

EMERGENCY RULE

20 CSR 2120-2.106
Preneed Funeral Contract Audit Fee Waiver
To waive the twenty-five dollar ($25) statutory state audit fee paid by consumers who are impacted by the receivership of National Prearranged Services (“NPS”).

PUBLIC COST: This proposed rule will cost state agencies or political subdivisions an estimated forty-six thousand five hundred dollars ($46,500) in the time the emergency is effective.

PRIVATE COST: This proposed rule will save private an estimated forty-six thousand five hundred dollars ($46,500) in the time the emergency is effective.
June 3, 2024 This proposed rulemaking does not have an adverse impact on small businesses. Professional Registration – Embalmers

PROPOSED AMENDMENT

20 CSR 2085-8.070
Instructor Renewal and Inactive License Requirements
This amendment allows for distance learning courses for continuing education.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
June 3, 2024 This proposed rulemaking does not have an adverse impact on small businesses. Professional Registration – Cosmetology/Barbers

PROPOSED AMENDMENT

20 CSR 2085-12.010
General Rules and Application Requirements for All Schools
This amendment adds language regarding virtual education.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
June 3, 2024 This proposed rulemaking does not have an adverse impact on small businesses. Professional Registration – Cosmetology/Barbers

PROPOSED AMENDMENT

20 CSR 2263-2.085
Restoration of License
This amendment outlines the requirements for restoration of a license that has been expired or revoked for (2) years or more.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
May 15, 2024

This proposed rule does not have an adverse impact on small businesses.

Professional Registration – Social Workers

PROPOSED AMENDMENT

20 CSR 2040-5.040
Rules for Professional Boxing
This amendment provides guidelines on experience to participate as a professional boxer contestant.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
May 15, 2024

This proposed rule does not have an adverse impact on small businesses.

Professional Registration – Athletics

PROPOSED AMENDMENT

20 CSR 2030-14.020
Definition of Baccalaureate Degree From Approved Curriculum as Used in Section 327.314.2(1)(a), RSMo
This rule is being amended to come into compliance with a statutory amendment via HB 2149 regarding changes that went into effect on January 1, 2024 and to clarify approved course work toward licensure as a Professional Land Surveyor.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
May 15, 2024

This proposed rule does not have an adverse impact on small businesses.

Professional Registration – Land Surveyors

PROPOSED AMENDMENT

20 CSR 2030-14.030
Definition of Sixty Semester Hours from Approved Curriculum as Used in Section 327.314.2(1)(b), RSMo
This rule is being amended to come into compliance with a statutory amendment via HB 2149 regarding changes that went into effect on January 1, 2024, and to clarify approved course work toward licensure as a Professional Land Surveyor.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
May 15, 2024

This proposed rule does not have an adverse impact on small businesses.

Professional Registration – Land Surveyors

PROPOSED AMENDMENT

20 CSR 2030-14.040
Definition of Sixty Semester Hours from Approved Curriculum as Used in Section 327.314.2(1)(c), RSMo
This rule is being amended to come into compliance with a statutory amendment via HB 2149 regarding changes that went into effect on January 1, 2024, and to clarify approved course work toward licensure as a Professional Land Surveyor.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST: This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
May 15, 2024

This proposed rule does not have an adverse impact on small businesses.

Professional Registration – Land Surveyors

PROPOSED AMENDMENT

20 CSR 2220-4.010
General Fees
This amendment increases initial and renewal licensing fees.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST:  This proposed amendment is estimated to cost private entities seventy-eight thousand two hundred ninety-five dollars ($78,295) beginning in FY25 and annually thereafter; eighty-seven thousand five hundred dollars ($87,500) beginning in FY 25 and annually thereafter; three hundred twenty thousand six hundred fifty dollars ($320,650) beginning in FY26 and biennially thereafter; and three hundred sixty-two thousand five hundred dollars ($362,500) beginning in FY27 and biennially thereafter for the life of the rule.
May 1, 2024

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration – Pharmacy

PROPOSED AMENDMENT

20 CSR 2110-2.130
Dental Hygienists
This proposed amendment will allow dental hygienists to administer local anesthetic under the general supervision of a licensed dentist.

PUBLIC COST:  This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST:  This proposed amendment will not cost private entities more than five-hundred dollars ($500) in the aggregate.
May 1, 2024

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration – Dental

PROPOSED RULE

20 CSR 2110-2.134
Oral Preventive Assistant Pilot Project
This rule implements the provisions of section 332.325, RSMo, and creates temporary waivers of provisions of Chapter 332, RSMo, and previously promulgated regulations pursuant to section 332.325, RSMo.

PUBLIC COST:  This proposed rule will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST:  This proposed rule will not cost private entities more than five-hundred dollars ($500) in the aggregate.
May 1, 2024

This proposed rule does not have an adverse impact on small businesses.

Professional Registration – Dental

PROPOSED AMENDMENT

20 CSR 400-5.900
Suitability in Annuity Transactions
This proposed amendment implements the National Association of Insurance Commissioners (NAIC) Suitability in Annuity Transactions Model Regulation #275.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST:  This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
February 15, 2024

This proposed amendment does not have an adverse impact on small businesses.

Insurance

PROPOSED AMENDMENT

20 CSR 400-13.100
Health Insurance Rates
This proposed amendment requires an actuarial value and cost-sharing factor spreadsheet be included in proposed rates and rate filings for health benefit plans.

PUBLIC COST: This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

PRIVATE COST:  This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.
February 15, 2024

This proposed amendment does not have an adverse impact on small businesses.

Insurance

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